The American Hospital Association (AHA) Dec. 17 released its Health Care Plan Accountability Update, covering the latest developments in Medicare Advantage, legislation and regulation of private health insurers, as well as other resources from the last quarter.
Included in the update:
- CMS releases proposed rule for 2026 Medicare Advantage, prescription drug plans
- AHA makes recommendations supporting CMS’ proposed MAO data collection and audit protocol
- GAO finds private insurance market became increasingly concentrated last decade
- Analysis: MA plans more likely to classify hospital stays as observation visits, compared with traditional Medicare
- OIG report finds insurers collected billions in questionable MA payments
The update also includes legislative activity that took place in November 2024.
- AHA Responds to CMS Medicare Advantage Data and Audit Proposed Protocol, Nov. 11
- AHA Urges Congress to Act on Key Priorities in Lame-duck Session, Nov. 12
- AHA Asks Congressional Leadership to Fund Hospitals, Protect Health Care Workers, Nov. 13
- AHA Statement on CMS Medicare Advantage Proposed Rule, Nov. 26
- Special Bulletin: CMS Issues Proposed Rule for CY 2026 Medicare Advantage, Prescription Drug Plans, Nov. 27
AHA is also seeking stories:
We want to hear about your experience with commercial health plans and how inappropriate use of prior authorization, payment delays and other harmful policies are affecting your patients. We welcome submissions in writing or by video or image upload. We will not use any information publicly without your permission.
Click here for more info.
